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| 基于LEARNS模式构建经皮肝穿刺胆道引流术后患者低钾血症智慧化管理方案 |
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| 投稿时间：2026-06-09 修订日期：2026-07-08 |
| DOI： |
| 中文关键词: LEARNS模式 经皮肝穿刺胆道引流术 低钾血症 智慧化管理 专家函询 |
| 英文关键词: |
| 基金项目:湖南省自然基金课题（2025JJ80736） |
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| 摘要点击次数: 13 |
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| 中文摘要: |
| 【】 目的? 构建以LEARNS模式为框架的智慧化经皮肝穿刺胆道引流术后患者低钾血症管理方案,为临床实践提供参考。方法? 基于LEARNS模式,在文献分析基础上,采用专家函询法遴选16名专家进行两轮函询确定管理方案内容,邀请1名信息工程师为技术指导配适智慧化形式。结果? 两轮函询问卷回收率分别为84.21%、100%,专家权威系数为0.90,两轮函询肯德尔系数(W)分别为0.122和0.166(P＜0.05)。构建出的最终方案包含6个阶段17个条目,各条目重要性评分均数为4.29～4.94分,CV为0.05～0.20。结论 构建的智慧化管理方案科学性与实用性较强,可为术后低钾血症的精准管理提供参考。 |
| 英文摘要: |
| 【】 Objective? To construct a smart management plan for hypokalemia after Percutaneous transhepatic biliary drainage based on the LEARNS model, providing a theoretical basis for clinical practice. Methods Based on the LEARNS model and on the basis of literature analysis, the expert consultation method was adopted to select 16 experts for two rounds of consultation to determine the content of the management plan. One information engineer was invited to provide technical guidance for the adaptation of the intelligent form. Results? The recovery rates of the two rounds of consultation questionnaires were 84.21% and 100% respectively, and the expert authority coefficient was 0.90. The Kendall coefficient (W) of the two rounds of consultation was 0.122 and 0.166 (P < 0.05). The final plan included 6 stages and 17 items, with the average importance score of each item ranging from 4.29 to 4.94, and CV ranging from 0.05 to 0.20. Conclusion The constructed smart management plan is scientifically and practically strong, which can provide a reference for the precise and continuous management of hypokalemia after Percutaneous transhepatic biliary drainage . |
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